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  5. BETHANY HOUSE, INC.

BETHANY HOUSE, INC.

Company Details

Name: BETHANY HOUSE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION
Status: Active
Date of registration: 30 Dec 1986 (38 years ago)
Entity Number: 1134081
ZIP code: 14621
County: Monroe
Place of Formation: New York
Address: 1111 JOSEPH AVENUE, ROCHESTER, NY, United States, 14621

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BETHANY HOUSE 401(K) PLAN 2023 112848726 2024-07-01 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-05-05
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2024-07-01
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2022 112848726 2023-07-11 BETHANY HOUSE 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2023-07-11
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-08-16 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-08-16
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2021 112848726 2022-06-28 BETHANY HOUSE 26
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2022-06-28
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2020 112848726 2021-08-24 BETHANY HOUSE 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2021-08-24
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2019 112848726 2020-07-01 BETHANY HOUSE 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2020-07-01
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2018 112848726 2019-07-02 BETHANY HOUSE 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2019-07-02
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2017 112848726 2018-07-10 BETHANY HOUSE 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVE, ROOSEVELT, NY, 115751337

Signature of
Role Plan administrator
Date 2018-07-10
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2016 112848726 2017-05-25 BETHANY HOUSE 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5165467970
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing PAULETTE CIPOLLA
Valid signature Filed with authorized/valid electronic signature
BETHANY HOUSE 401(K) PLAN 2015 112848726 2016-04-12 BETHANY HOUSE 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 813000
Sponsor’s telephone number 5163138008
Plan sponsor’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575

Plan administrator’s name and address
Administrator’s EIN 112848726
Plan administrator’s name BETHANY HOUSE
Plan administrator’s address 102 WHITEHOUSE AVENUE, ROOSEVELT, NY, 11575
Administrator’s telephone number 5163138008

Signature of
Role Plan administrator
Date 2016-04-12
Name of individual signing BRIAN KOONMEN
Valid signature Filed with authorized/valid electronic signature

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1111 JOSEPH AVENUE, ROCHESTER, NY, United States, 14621

History

Start date End date Type Value
2000-05-15 2009-07-30 Address 169 ST. BRIDGET'S DRIVE, ROCHESTER, NY, 14605, USA (Type of address: Service of Process)
1986-12-30 2000-05-15 Address 1777 SWEETS CORNERS ROAD, FAIRPORT, NY, 14450, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
090730000175 2009-07-30 CERTIFICATE OF CHANGE 2009-07-30
000515000183 2000-05-15 CERTIFICATE OF AMENDMENT 2000-05-15
B441027-11 1986-12-30 CERTIFICATE OF INCORPORATION 1986-12-30

Related by officers

THE CORPORATION

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Related by address

No related companies by address

Date of last update: 15 Nov 2024

Sources: New York Secretary of State

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